THE Message from the President COLLEGE OF FAMILY Hong Kong Primary Care Conference 2013 Our Hong Kong Primary Care Conference (HKPCC), “Innovations in Primary Care” will be held on June 16, 2013 at the Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong. This year we will be having a full day of exciting scientific programme. Following Family the success of our first clinical case presentation competition last year, we will be holding this competition again this year. Do not miss this educational and entertaining session with competitor teams presenting clinical cases in different formats. Their presentations are often interesting! Physicians After the opening ceremony we will have the first plenary session “Driving Innovations in Primary Care Research” by Prof. Doris Young. Prof. Young is the Chair of General Practice, and Associate Dean (Academic), Faculty of Medicine, the University of Melbourne. She is also our Honorary Fellow and has been our external Exit Examiner since 2007. Her dedication to and advice on primary care Links research and development have always been insightful for our development. Family Our second plenary session is “Primary Care Models - Let a Hundred Flowers Bloom” by Prof. Gabriel Leung. Prof. Leung is the Head of the Department of Physicians Community Medicine, the after serving as Hong Kong's first Under Secretary for Food and Health and the fifth Director of the Chief Executive's Office. He will discuss not only the various primary care models, Links but also how they should be allowed to experiment, and be evaluated and implemented. After lunch we will have our third plenary session “e-Health Record (eHR) Sharing in Hong Kong” by Mr. Richard Yuen, Permanent Secretary (Health) of the Food Issue 111 and Health Bureau (FHB). Mr. Yuen will share with us the Government’s vision on May 2013 eHR Sharing System, which will be a very important tool for our clinical practice. Ms. Ida Lee, Deputy Head (eHR) of FHB will explain the “Rules and Principles Adopted in the eHR Sharing System” and Dr. Summer Chan, Deputy Senior INSIDE THIS ISSUE Health Informatician (eHR and Special Clinical Projects) of the will share his experience in “Creating User Friendly eHR Environment for Family 01 Message from the President Physicians”. 02 College News If you are interested in research, come join the research forum for higher 02 CMOD, Membership Committee News, trainees in Family Medicine. Three experts, Prof. Doris Young, Prof. Martin Internal Affairs Committee News Wong, Associate Professor, School of Public Health & Primary Care, the 03 Specialty Board News, Board of Vocational Chinese University of Hong Kong, and Dr. Chin Weng Yee, Assistant Professor, Training and Standards News, Classified Department of Family Medicine & Primary Care, the University of Hong Kong will Advertisements share their views on some of the higher trainees’ research presentations. Besides, 04 Diploma in Family Medicine Dr. Henry Sze, Clinical Assistant Professor of the Department of Oncology, the 06 Certificate Course in Family Medicine University of Hong Kong, will talk about “New Treatment in Oncology”. 08 Oasis: The Trouble Tree I am also very grateful for the overwhelming responses to our workshops. 09 News Corner: Avian Influenza A – H7N9

Last but not least, I would like to thank the Organizing Committee 2013 led by 10 Feature: Interview with Professor Joseph Sung co-chairpersons Dr. Lorna Ng and Dr. William Wong, business manager and treasurer Dr. Daniel Chu, and committee members Dr. Colman Fung, Dr. Chiang 13 Learning Points from Board of Education Lap Kin, Dr. Catherine Chen, Dr. Judy Cheng, Dr. Dana Lo, Dr. Kevin Foo, Dr. 15 Board of Education News

Kwan Yu, Dr. Wendy Kwan, Dr. Vienna Leung, Dr. Chong Man Yuk, Ms. Samantha 20 College Calendar Chon, Ms. Margaret Lam, Prof. Ip Wan Yim and our conference secretariat Ms. Erica So, Ms. Crystal Yung, Ms. Teresa Liu and Ms. Alky Yu. The team has overcome a lot of challenges this year to bring this conference to us. Please register with 2013 HKPCC if you have not done so. Come join this exciting conference, meet old friends, learn new knowledge, and share your expertise with others. Look forward to seeing you all there!!

Family Physicians 1 Links COLLEGE NEWS

"Council Member-On-Duty" (CMOD) System

Dear College members, We are still providing this alternative channel of communication for you to reach us. Do let us have your ideas and comments so that we can further improve our services to all the members. From 15th May 2013 to 14th June 2013, Dr. Angus Chan and Dr. Chong Man Yuk will be the Council Members On Duty. Please feel free to make use of this channel to voice your doubts, concerns, queries, and comments about anything relating to our College and Family Medicine. You can reach us by Dr. Angus Chan Dr. Chong Man Yuk contacting our College Secretariat by phone: 2528 6618, by fax: 2866 0616, or by email: [email protected]. Once we receive your call or message, we will get in touch with you directly as soon as we can. Dr. Tony C. K. Lee Co-ordinator, CMOD System

Membership Committee News

The Membership Committee approved, on recommendation of the Chairlady of the Membership Committee, the following applications for membership in April 2013 :

Associate Membership (New Application) Dr. CHEUNG Tsz Ki 張 子 祺 Dr. TSE Wan Ying 謝 韻 盈

Internal Affairs Committee News

The 26th Fellowship Conferment Ceremony and the 24th Dr. Sun Yat Sen Oration Dear Colleagues, The College is holding “The 26th Fellowship Conferment Ceremony and the 24th Dr. Sun Yat Sen Oration” on 15th June 2013 (Saturday) at the Hong Kong Academy of Medicine Jockey Club Building. The successful candidates of Conjoint Examination would be conferred Fellowships, and the successful candidates of Diploma in Family Medicine and the Exit Examination would be granted certificates. In this very important occasion, Professor Joseph J.Y. Sung, Vice-Chancellor and President of the Chinese University of Hong Kong, would deliver the 24th Dr. Sun Yat Sen Oration. All Fellows*, members and their spouses are cordially invited to attend the Conferment Ceremony and the Oration. The details are: Events : (i) The 26th Fellowship Conferment Ceremony (ii) The 24th Dr. Sun Yat Sen Oration by Prof. Joseph J.Y. Sung Venue : 1/F, Run Run Shaw Hall, Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong Date : 15th June 2013 (Saturday) Time : 4:00 p.m. – Reception with light refreshments 5:30 p.m. – Commencement of Ceremony Remarks : 1 CME (Category 4.3) This activity is free of charge to our College Fellows, members and their spouses. *All College Fellows are welcome to bring their Fellowship gowns for the Conferment Ceremony. Please mark your diaries and we look forward to seeing you soon. Thank you! Dr. David CHAO Chairman, Internal Affairs Committee

Family 2 Physicians Links COLLEGE NEWS

Specialty Board News

The Specialty Board is pleased to announce that the following candidates have successfully passed the Full Exit Examination of HKCFP in 2013.

Dr. Chan Shuk Yan, Angela Dr. Chung Sze Pok Dr. Pun Lai Yin Dr. Chan Shan Ching Dr. Kwok Chi Ming Dr. Sy Hung Pan Dr. Che Ka Seng Dr. Lo Tsz Yan Dr. Wu Sze Man Dr. Cheng Chun Sing, David Dr. Lo Wai Hon Dr. Yau Kin Chung Dr. Cheuk Christina Dr. Pang Kwok Ching Dr. Yeung Wai Man Dr. Cheung Wing Wo Dr. Poon Ting Kong Dr. Yu Sze Kai, Frances

Congratulations to you all!

Dr. Wendy Tsui Chairlady, Specialty Board

Board of Vocational Training and Standards News

Recruitment for Mentors on Research Segment, Exit Examination of Vocational Training in Family Medicine, HKCFP

Dear College Members, The Board of Vocational Training and Standards is now recruiting Mentors for the Research Segment of Exit Examination of Vocational Training Programme in Family Medicine. A mentor acts as an “anchor” and personal advisor for the trainee’s research project throughout their 2-year higher training. The mentor is the expert who provides the trainee with general and overall guideline in conducting research and data analysis, and helps the trainee identify his/her own competence and deficiencies. The mentor has to give feedback to the trainee periodically, monitor the progress of the trainee’s project and ensure that he/she is reaching the standards of the Exit Examination. Acting as a mentor, you would be awarded up to 5 points of Continuous Professional Development (under QA&A Regulation Category 3.2). Please indicate your interest for the appointment by filling the application form available on www.hkcfp.org.hk. You are welcome to contact our Secretariat at 2528 6618 or [email protected] should you have any enquiries.

Yours sincerely,

Dr. Chiu Chi Fai, Billy Chairman, Higher Training Subcommittee BVTS

Classified Advertisements

Positions Vacant

Accredited Private FM Centre invites full time / part time FT/PT/Locum Family (min. 3 years’ experience) Doctors for expanding services (Tuen Mun / Kwai Fong). FM for practices of United Christian Nethersole CHS in Tai Po & Trainee, specialists welcomed. Basic + Profit Sharing ± Partnership. Kowloon. Flexible hours. Please e-mail resume with expected Send CV [email protected] ( Amy CHAN) 9212 6654 salary - Ms. Law : [email protected].

Part-time Locum Wanted by a clinic in Sham Shui Po, 6:30pm- 8:30pm, 5days a week, $1,200 per section. Interested please call Miss Ho 5416 8313.

Family Physicians 3 Links COLLEGE NEWS

Diploma in Family Medicine (HKCFP) Third Announcement

The Board is pleased to announce that the Diploma Course in Family Medicine (DFM) organized by the Hong Kong College of Family Physicians will commence in June 2013.

The course consists of FIVE modules. Modules I & II will be delivered by Local Distance Learning. Modules III, IV & V consist of lectures, seminars, tutorials, workshops and clinical attachments. The whole course requires ONE year of part-time studies.

Details of the course are as follows:

1. Objectives: i) To provide knowledgeable, pragmatic and structured teaching in Family Medicine for medical practitioners ii) To encourage professional development of practising medical practitioners and to provide an intermediate step to fellowship qualifications in Family Medicine iii) To improve standards and quality in the practice of Family Medicine

2. *Syllabus: The course consists of FIVE compulsory modules. Doctors graduated from the course are expected to have acquired: i) Current concepts about the nature of Family Medicine ii) Knowledge and skills in consultation, counselling and problem solving iii) Knowledge and skills in common practice procedures and emergency care required for good quality family practice iv) Understanding towards the role of Family Doctors as gatekeepers of the health-care system and in providing cost-effective primary care to the community

Module I – Principles of Family Medicine (Distance Learning)

Aims: 1. Learn the concepts of Family Medicine 2. Understand the role and scope of a Family Doctor Contents: Definition of Family Physicians, Family Physicians’ Functions, Core Values of Family Medicine, Consultation, Future of Family Medicine

Module II – Common Problems in Family Medicine (Distance Learning)

Aims: 1. Enhance consultation, communication and problem solving skills 2. Gain knowledge in common and chronic diseases in Family Medicine Contents: Selected topics from Clinical Psychology, Diabetes Mellitus, Low Back Pain, COPD, Atopic Eczema, Elbow Mass, Facial Rashes, Health Psychology, Allergic Rhinitis, Urethritis, Urine Incontinence, etc

Module III - Essentials of Family Medicine (Structured Seminars and Tutorials)

Aims: 1. Strengthen knowledge in Family Medicine 2. Understand the potential growth of Family Medicine 3. Develop research and teaching skills in Family Medicine Contents: Practice Management, Care of Elderly & Chronic Illnesses, Anticipatory Care, Clinical Audit & Quality Assurance, Introduction to Family Therapy, Research & Teaching in Family Medicine, Evidence Based Medicine and Critical Appraisal

Module IV - Clinical Updates (Updates and Clinical Attachment)

Aims: Acquire in-depth knowledge and practical skills in selected specialized areas including Medicine, , Geriatrics, ENT, Orthopaedics & Traumatology, Accident & Emergency Medicine, Infectious Diseases and Dermatology Contents: FIVE Update seminars and ONE clinical attachment on selected specialties including Medicine, Surgery, Geriatrics, ENT, Orthopaedics & Traumatology, Accident & Emergency Medicine, Infectious Diseases and Dermatology (subject to availability)

Module V - Practical Family Medicine (Practical Workshops)

Aims: Enhance practical and communication skills in Family Medicine by Practical Workshops in selected areas including CPR, Consultation Skills, Counselling Skills, Women’s Health, Orthopaedic Injection and Musculo-Skeletal Medicine Contents: 5 compulsory and 1 elective Practical Workshops in selected areas including CPR, Consultation Skills, Counselling Skills, Women’s Health, Orthopaedic Injection and Musculo-Skeletal Medicine

Module III & V will be scheduled in Saturday and Sunday afternoons

3. Articulations: The Course allows (up to a fixed maximum percentage of the Course units) articulations or cross recognition of previous Family Medicine training programmes that provide learning units equivalent to that of the above syllabus. Participants who wish to apply for such articulations have to submit evidence of relevant training together with their application. The granting of articulations is however, completely at the discretion and decision of the Board of DFM.

4. *Schedule: The whole course requires ONE year of part-time studies.

June to September 2013 Module I November 2013 to January 2014 Module II July 2013 to May 2014 Module III, IV & V May 2014 Final Examination

Family 4 Physicians Links COLLEGE NEWS

5. Admission Requirements: Medical Practitioner with Bachelor’s degree in Medicine. 6. Teaching Staff: A panel of experienced academic medical professionals in Family Medicine, hospital specialists and experienced Fellows or Trainers of HKCFP will be invited to teach in the programme. 7. Teaching Medium: # English ( may be used in some seminars, workshops and clinical attachments) 8. Course Fees: Whole course: HK$28,000 for members of HKCFP HK$56,000 for non-members (A discount of HK$3,000 for early birds who apply on or before May 17, 2013) Individual Modules: Members Non-members Module I (Distance Learning – Principles of Family Medicine) $3,600 $7,200 Module II (Distance Learning – Common Problems in Family Medicine) $3,600 $7,200 Module III (Structured Lectures & Seminars) $2,600 $5,200 Module IV (Updates & Clinical Attachment) $3,200 $6,400 Module V (Practical Workshops) $4,200 $8,400 Examination $8,000 $16,000 Administration Fee $3,000 $6,000

All fees must be paid upon application and before commencement of the course. Fees paid are NON-TRANSFERABLE and NON-REFUNDABLE. 9. Awards/Credits: i) A Diploma in Family Medicine issued by HKCFP will be awarded to candidates who have satisfied all the requirements and have passed all the required assessment and the Final Examination. ii) The Diploma is a Quotable Qualification of The Medical Council of Hong Kong. iii) 50 CME and 10 CPD credit points will also be awarded to candidates on satisfactory completion of the Course by the QA & A Committee of HKCFP. 10. Application Procedures: Application is now open A completed application form must be returned to The Hong Kong College of Family Physicians with the following: i) Photocopy of the current Annual Practicing Certificate. ii) A recent photo of the applicant (passport size). iii) A signed “Disclaimer of Liability”. iv) An application fee of HK$200 by crossed cheque payable to “HKCFP Holdings and Development Limited”. This fee is non-refundable. v) A Course Fee of HK$28,000 (or HK$56,000 for non-members) by crossed cheque payable to “HKCFP Holdings and Development Limited”. This fee is non-refundable unless the application is unsuccessful. Every successful applicant will be notified by an official letter of admission. Information and application forms are obtainable at the College or can be downloaded at the College website (http://www.hkcfp.org.hk). Members who were not admitted in the course in 2012 have to send in their application again if they want to study the course this year. Please contact the College secretariat, Mr. John Lee at 2861 0220 for any queries. 11. Application Deadline: June 21, 2013 Comments From Former DFM Graduates - The content is useful in daily practice. I can have hands-on practical skills. I can polish my communication skills during the lectures & workshops. - I can understand the role of Family Physicians as gatekeepers of health-care system and better know about their role in the society. I also acquire the skills on critical appraisal. - There are sessions of clinical updates for refreshing our knowledge on clinical medicine. Modules I, II & III could help improve my knowledge and my understanding of Family Medicine. Sessions in consultation are invaluable in improving my communication skills.

Dr. Au Chi Lap Chairman The Board of DFM *Course syllabus, schedule and availability may be subject to change without prior notification. #Cantonese and English will be used as the language for teaching and examination.

CPR Training Workshop Women’s Health Workshop Orthopaedic Injection Workshop Musculoskeletal Workshop

Family Physicians 5 Links COLLEGE NEWS

Certificate Course in Family Medicine (HKCFP) Third Announcement

The Board is pleased to announce that the Certificate Course in Family Medicine (CFM) organized by The Hong Kong College of Family Physicians will commence in June 2013. The course consists of THREE Segments. Segment I and Segment II will be delivered by Local Distance Learning. Segment III consists of workshops. The whole course requires FIVE months of part-time studies. Details of the course are as follows: 1. Objectives: i) To provide knowledgeable, pragmatic and structured teaching in Family Medicine for medical practitioners ii) To encourage professional development of practicing medical practitioners and to provide an intermediate step to attain diploma qualifications in Family Medicine iii) To improve standards and quality in the practice of Family Medicine 2. *Syllabus: The course consists of THREE compulsory segments. Doctors graduated from the course are expected to have acquired: i) Current concepts about nature of Family Medicine ii) Knowledge and skills in consultation iii) Knowledge and skills in some common practice procedures required in family practice iv) Understanding towards the role of Family Doctors as gatekeepers of the health-care system and in providing cost-effective primary care to the community Segment I – Principles of Family Medicine (Distance Learning) Aims: 1. Learn concepts of Family Medicine 2. Understand the role and scope of a Family Doctor Contents: Definition of Family Physicians, Family Physicians’ Functions, Core Values of Family Medicine, Consultation, Future of Family Medicine Segment II- Common Problems in Family Medicine (Distance Learning) Aims: 1. Enhance consultation, communication and problem solving skills 2. Gain knowledge in common and chronic diseases in Family Medicine Contents: Selected topics from Clinical Psychology, Diabetes Mellitus, Low Back Pain, COPD, Atopic Eczema, Elbow Mass, Facial Rashes, Health Psychology, Allergic Rhinitis, Urethritis, Urine Incontinence etc. (Subject to further selection) Segment III - Practical Family Medicine (Practical Workshops) Aims: Enhance practical skills and consultation skills in Family Medicine by Practical Workshops in some selected areas Contents: Orthopaedic Injection and Consultation Skills 3. *Schedule: The whole course requires FOUR months of part-time studies. July to October 2013 Segment I & II 1-day workshop in October 2013 Segment III 4. Admission Requirements: Medical Practitioner with Bachelor’s degree in Medicine. 5. Teaching Staff: A panel of experienced academic medical professionals in Family Medicine, hospital specialists and experienced Fellows or Trainers of HKCFP will be invited to teach in the programme. 6. Teaching Medium: # English 7. Course Fees: HK$9,000 for members of HKCFP HK$18,000 for non-members All fees must be paid upon application and before commencement of the course. Fees paid are NON-TRANSFERABLE and NON-REFUNDABLE. 8. Awards/ Credits: i) A Certificate in Family Medicine issued by HKCFP will be awarded to candidates who have satisfied all the requirements. ii) 10 CME credit points will also be awarded to candidates at satisfactory completion of the Course by the QA & A Committee of HKCFP. 9. Application Procedures: Application is now open A completed application form must be returned to The Hong Kong College of Family Physicians with the following: i) Photocopy of the current Annual Practicing Certificate ii) A recent photo of the applicant (passport size) iii) An application fee of HK$200 by crossed cheque payable to “HKCFP Holdings and Development Limited”. This fee is non-refundable iv) A Course Fee of HK$9,000 (or HK$18,000 if non-member) by crossed cheque payable to “HKCFP Holdings and Development Limited”. This fee is non-refundable unless the application is unsuccessful. Every successful applicant will be notified by an official letter of admission. Information and application forms are obtainable at the College or can be downloaded at the College Website (http://www.hkcfp.org.hk). Please contact the College secretariat, Mr. John Lee at 2861 0220 for any queries. 10. Application Deadline: June 21, 2013 Dr. Au Chi Lap Chairman, The Board of DFM

*Course syllabus, schedule and availability may be subject to change without prior notification. Family #Cantonese and English will be used as the languages, for teaching and examination. 6 Physicians Links

OASIS

The Trouble Tree

The carpenter I hired to help me restore an old farmhouse had just finished a rough day on the job. A flat tire made him lose an hour of work. His electric saw quit, and now his ancient pickup truck refused to start.

He sat in stony silence while I drove him home.

On arriving, he invited me in to meet his family. As we walked towards the front door, he paused briefly at a tall tree, touching the tips of the branches with both hands. Upon opening the door, he underwent an amazing transformation. His tanned face was wreathed with smiles as he hugged his two small children and gave his wife a kiss.

He walked me to the car after introducing his family to me. We passed the tree and my curiosity got the better of me. I asked him about what I had seen him do earlier.

"Oh, that's my trouble tree." He replied.

"I know that I can't help having troubles on the job but there’s one thing for sure. Troubles don't belong in the house with my wife and children. Hence, I just hang them up on the tree every night when I get home. I pick them up again in the morn- ing. Funny thing is…" he said with a smile,

"…when I come out in the morning to pick them up, there are not nearly as many as I remember hanging up the night before."

http://www.inspirationallane.com/ThanksgivingInspirationalStories6.htm

Family 8 Physicians Links NEWS CORNER

Avian Influenza A – H7N9

Ten years since the SARS epidemic, another deadly emerging disease, the avian influenza A H7N9 is fuelling concerns in our community. The influenza (flu) virus has eight genes including two that carry codes for the haemagglutinin (H) and neuraminidase (N) proteins and six genes that code for internal proteins. The gene for the H protein is the most important as it is the H protein which allows the virus to bind to host cells. In the new human cases of avian influenza, the genes coding for the internal proteins appear to come from H9N2 viruses – a class that is endemic in birds including poultry. The gene for the N protein appears similar to avian H11N9 viruses that were recently found in South Korea in 2011. The gene for the H protein, the most critical gene, seems to belong to a Eurasian group of H7 avian flu virus which does not cause severe sickness in birds. This is a vital link as viruses that don’t sicken birds can, however, cause severe disease in humans as we lack immunity to them and they may be more lethal in humans depending on how they bind to our airway receptors. Clinical presentation of avian influenza in humans includes eye infection (conjunctivitis), flu-like symptoms (e.g. fever, cough, sore throat, muscle aches) or severe respiratory illness (e.g. chest infection). The more virulent forms [e.g. infection by avian influenza A (H5N1 or H7N9) viruses] can result in respiratory failure, multi-organ failure and even death. As of 22 April 2013, 104 cases of human infection caused by the avian influenza A (H7N9) virus have been reported with a total of 21 deaths as follows: Region No. of cases Anhui Province 3 Beijing Municipality 1 Henan Province 3 Jiangsu Province 23 Municipality 33 Province 41

There are no confirmed cases of H7N9 in Hong Kong at the time of writing. Investigations into the possible sources of infection and reservoirs of the virus are ongoing by the World Health Organization (WHO) and the Mainland health authorities. According to the National Health and Family Planning Commission, the H7N9 virus is of avian origin and people are mainly infected through exposure to infected poultry or its contaminated environment. A case involving the deaths of two close family members, involving the first H7N9 case, an 87-year old man and his 55-year old son has raised considerable concern on human-to-human transmission by close contact, although there is no direct evidence of such transmission in a sustained manner. H7N9 is now a statutory notifiable disease in Hong Kong. As gatekeepers, family physicians should be well aware of the reporting criteria. Apart from clinical features of acute respiratory illness, fever and unexplained severe pneumonia, epidemiological criteria for reporting includes contact with a confirmed case, contact with infected poultry or visiting wet markets with live poultry in affected countries, consumption of raw/undercooked poultry in affected areas, and close contact with infected animals or laboratory samples. In this connection, visiting wet markets with live poultry per se without actual contact with the poultry in an affected area is also considered as an epidemiological reporting criteria for influenza A (H7N9). According to the Chinese health authorities, antigenic and genome sequence analyses indicate that the avian influenza A virus (H7N9) is sensitive to the neuraminidase inhibitors. The usage of neuraminidase inhibitors in the early stage of the infection has been proven effective, but whether it is the only specific treatment for H7N9 virus needs further investigation. Recommended antiviral agents include oseltamivir (Tamiflu®) and Zanamivir (Relenza®).

References:

1. Centre for Health Protection. Update on number of suspected human cases of avian influenza A(H7) notified. Available from: http://www. chp.gov.hk/en/view_content/28948.html. Accessed on 23 April 2013. 2. World Health Organization. Number of confirmed human cases for influenza A(H7N9) reported to WHO as of 22 April 2013. Available from: http://www.who.int/influenza/human_animal_interface/influenza_h7n9/02_ReportWebH7N9Number.pdf Assessed on 23 April 2013. 3. Work Group on Clinical Management for Avian Influenza A (H7N9) and Novel Coronavirus (NCoV). Interim Recommendation on Antiviral Therapy for Human Infection due to Avain Influenza A (H7N9). Hospital Authority Central Committee on Infectious Disease and Emergency Responses. Version 1: 11 April 2013.

Complied by Dr. Cheng Ghar Yee, Judy

"Submissions of articles to News Corner with up to 500 words are always welcome. Gift vouchers will be given as a token of appreciation for Family good works if the articles are selected for publication. Email: [email protected]" Physicians 9 Links FEATURE

An Interview with the Headmaster - Professor J Y Sung

Dr. Cheng Ghar Yee, Judy, Specialist in Family Medicine, Hospital Authority

Being called into the headmaster’s room always makes you feel as if you’re a twelve-year-old who’s just had a fight with your classmate. During an interview with the Chinese University of Hong Kong’s Vice Chancellor, I was initially quite in awe until Prof. Sung mesmerized us with interesting anecdotes about his childhood and challenges in the medical profession. This year, our College is most honored to invite Prof. Joseph Sung to be our 24th Sun Yat Sen Orator. Prof. Sung has also kindly agreed to be interviewed by FP Links to share his views on Family Medicine, the current healthcare system, his plans for CUHK as Vice Chancellor, and his secrets of success.

Professor Joseph J.Y. Sung received his MBBS degree from the University of Hong Kong in 1983, and was conferred a PhD in biomedical sciences by the in 1992, and a MD by CUHK in 1997. Professor Sung holds fellowships from the Royal Colleges of Physicians of Edinburgh, Glasgow, London, Thailand and from the American College of , the Royal Australian College of Physicians, the American Gastroenterological Association, the Hong Kong College of Physicians and the Hong Kong Academy of Medicine. Professor Joseph J.Y. Sung is concurrently Mok Hing Yiu Professor of Medicine of CUHK, and an Academician of the Chinese Academy of Engineering of the Professor Joseph Sung People’s Republic of . He was the Chairman of the Department of Medicine and Therapeutics, CUHK in 1999-2010, Associate Dean (Clinical) of the Faculty of Medicine in 2002-04 and Associate Dean (General Affairs) in 2004-09, Head of of CUHK in 2008-10 and Vice-Chancellor/President of CUHK since 2010. Professor Sung is a world leader in research on gastroenterology. He led a group of experts from 15 Asia-Pacific countries to launch colorectal cancer screening research in 2004, and has laid down clear guidelines and promoted colorectal screening in the region. Because of his work in cancer screening and prevention, Professor Sung was honoured by the Laurel Award conferred by the Prevent Cancer Foundation of the United States in 2008. In 2003, Professor Sung led his medical team to fight against SARS and was named an “Asian Hero” by the Time magazine in recognition of his outstanding contributions. His contributions to the society and science has been recognized with many awards such as Eminent Scientist of the Year 2003 (The International Research Promotion Council, 2003), the Vice-Chancellor’s Exemplary Teaching Award (CUHK, 2003), (HKSAR Government, 2004), a Justice of Peace (HKSAR Government, 2012), and many others.

As the 24th Sun Yat Sen Orator, how do you care as they know the whole person and his/her family. Our perceive Family Medicine? current healthcare lacks this important factor. Inside hospitals, our operations are run like a factory with various specialties Prof. Sung: I think Family Medicine is a very important treating or operating on their “own” body parts but no one is specialty with an irreplaceable humanistic nature. But I think its taking care of the patient as a whole. Family physicians hold importance might not have been appreciated by many medical the key to this very important role and this point cannot be graduates. I remember my childhood family doctor taking more reemphasized. Family physicians have an immense job care of me, my brother, my parents and also my grandparents. satisfaction as they are caring for the whole patient instead of Chinese New Year greeting has included paying a visit to my just curing a certain organ. family doctor at his home. My family doctor’s house calls were The discipline of FM is already quickly developing and the not only limited to “homes”. I remember one time as a child, system is itself heading towards a right direction. One of the I was running a high fever and was taking the elevator down most important challenges is the low public awareness of Family to see my doctor. Unfortunately the elevator malfunctioned Medicine as a discipline and hence more public education and I was trapped inside. I remember my family doctor prising about the proper conception of family doctors and the current open the lift door and peering down asking if I was alright. undesirable health seeking behavior such as doctor shopping Family doctors are in a privileged position to offer holistic should be corrected.

Family “Submissions of articles to Feature with up to 1200 words are always welcome. Gift vouchers will be given as a token of appreciation if the 10 Physicians articles are selected for publication. Email: [email protected]” Links FEATURE

hence reducing their burden to the healthcare system at the secondary and tertiary levels. The public should be educated on the importance of primary care through a multidisciplinary approach via the media, stories and videos. On the contrary, the development of new technology should not be over-stressed. As the Vice-Chancellor of the CUHK, what do you think are the major challenges of undergraduate education?

Visit to Sichuan Prof. Sung: I think there are two main challenges that we have to overcome. One is the short sightedness of our young people. Do you have any suggestions for the future development of Family Medicine in Hong Kong with respect to its vocational training and implementation in Hong Kong? Prof. Sung: Recent reports on doubtful unprofessional conduct in aesthetic medicine has given the public impression that doctors are only in the job for money. The medical profession as a whole is under risk. The quote “while we have the means, we have lost the meaning of practicing medicine” has a tremendous impression on me. I think we should emphasize whole person care and not only disease-orientated care. We Dinner Party with CU Students should educate the public that family doctors “care” for the whole person and not just “cure” with technology. Holistic care A lot of young people I talk to aim to have a high earning and continuity of care are strengths to be highlighted. More capacity within their first few years of career to pay for the first prospective trainees will be attracted into Family Medicine by installment of a flat instead of focusing on their own career plan. sharing the satisfaction of being a family doctor. Some young people are interested in becoming investment bankers and studying business with little interest in medicine With your experience in SARS, what do you and science, arts and history. But I think there is much more to think about the role of family physicians in life and a person’s achievement than making money. I hope facing public health crises? students can have a broader academic experience outside their major field and a holistic non-academic learning to guide them Prof. Sung: Family physicians act on the frontier to guard against infectious diseases by early detection, infectious in life and not just their careers. disease precaution and educating the patients by providing Another aspect I’m concerned about is the resilience of our information on outbreaks. I hold a profound respect for family youngsters. This is a global problem and even more prominent doctors especially after SARS where more than enough in an affluent society such as ours in Hong Kong. With the doctors have sacrificed themselves such as Dr. Thomas financial growth and privileged circumstances of the 80s and Cheung who died of SARS after escorting one of his patients 90s, students find it harder to cope when facing adversities. to the AED. We see a lot of mood problems and sadly even suicides when our students feel they can’t cope with their studies. Exchange What do you perceive are the major areas students from mainland China who are the cream of the crop of improvement required for the current in their own provinces have an especially hard time when they healthcare system? don’t get satisfactory results in tests. As part of an admission Prof. Sung: There are a lot of novel technologies in current health check, we performed questionnaires on our freshmen healthcare and we have advanced in the area of treatment and and found 30% of them having symptoms of anxiety and cure. But we still have much to achieve in the area of prevention depression albeit not to the degree of having a pathological for communicable and non communicable diseases. An diagnosis. So the message of “not giving up” has to be example is cancer prevention, which is why I have established fostered. With the new 3-3-4 education system and youngsters the colorectal screening programme. Prevention of metabolic having a four-year undergraduate university curriculum, one of diseases such as hypertension, diabetes and obesity will have our challenges is to develop them as a whole person. This might to rely on the expertise of Family Physicians. Early detection of be an opportunity for students to take up more challenges communicable diseases such as SARS is another example where at a younger age with an earlier exposure to campus life and family physicians act as important gatekeepers and play crucial develop their moral character. Resilience training should begin surveillance roles. Appropriate restructuring of the healthcare at an earlier developmental stage and the University provides system should be made by proper utilization of primary care a unique platform for our youngsters to be in contact with a for the early detection and timely prevention of diseases, and comprehensive range of persons and cultures.

Family Physicians 11 Links FEATURE

What are the mottos and secret of your success? “You must be the change you want to see in the world.” Gandhi I have always carried this motto in my life and believe one must change oneself first to bring about changes in others. During the SARS epidemic, one of my medical students was unfortunately brought down with SARS and was extremely dejected with his ill fortune initially. After his recovery, he wrote me a letter telling me it was the most remarkable experience

Seventy-second Congregation for the Conferment of Degrees in his life as he learnt more during his hospitalization than his five years of medical school, when he experienced first hand What are your future plans on the professional and compassionate care from the medical staff. development of CUHK? “You can’t connect the dots looking forward; you can only connect them looking backwards. So you have to trust that Prof. Sung: CUHK is a comprehensive university consisting of the dots will somehow connect in your future. You have to science and art with medicine in between these two spectrums. trust in something – your gut, destiny, life, karma, whatever. As I have mentioned, the University has an imperative obligation Because believing that the dots will connect down the road to guide and prepare our young people for the society and their will give you the confidence to follow your heart even when future lives. I hope to cultivate a humanistic culture to groom it leads you off the well worn path; and that will make all their moral character and to broaden their horizon in ethics and the difference.” Steve Jobs life values instead of just developing technology. No profession Steve Jobs’ quote rings a bell very close to my heart. I always could thrive without ethics. Could you imagine the unethical firmly believe that one should avoid narrowing your own practice of medicine and law? Experience has shown us what spectrum and pigeon-holing yourself especially in the medical could happen to unethical practices in banking and investment profession. As a young man I thought I was very knowledgeable in recent years. in my own field. But that was until my PhD which opened me As for concrete plans, as a joint venture with the Shenzhen up to a whole new arena of experiences and people. Ever University the Shenzhen campus of the Chinese University of since, I have believed one should enrich one’s life with whatever Hong Kong (CUHK) is expected to begin in 2014, initally starting experience fate and life throws at you because you never from a smaller scale. Apart from introducing our education know where you could end up with all the little dots you have resources into the Mainland, we also hope to instill our moral accumulated along the way – to impact mankind and making a values into the new campus. splash in your life.

One of Prof. Sung’s Favourite Poems 滾滾長江東逝水， 浪花淘盡英雄。 是非成敗轉頭空。 青山依舊在，幾度夕陽紅。 白髮漁樵江渚上， 慣看秋月春風。 一壺濁酒喜相逢。 古今多少事，都付笑談中。《臨江仙》

Afterwords: It has been an immense honour for the FP Links reporters to talk with Prof. Sung. One of the most strong notions I had of Prof. Sung was his firm belief in moral values. Another impression was his ubiquitous presence - I suspect I’ll always feel like twelve years old in the headmaster’s room!

(from left to right) Professor Joseph Sung, Dr. Judy Cheng and Professor Martin Wong

Family 12 Physicians Links LEARNING POINTS FROM BOARD OF EDUCATION

Interest Group in Mental Health & Psychiatry in Primary Care The 35th Meeting on 6th April 2013 Dr. Mark S. H. Chan (Co-ordinator) - Board of Education

Theme : What are the current mental health topics of with ADHD and recorded the brain activities by EEG. It was interest to family physicians? shown that there were possibilities to shift Beta activities. Speaker : Dr. Chan Suen Ho, Mark Implications for future management? Coordinator, Board of Education Reference: Neurofeedback for the Treatment of Children and Adolescents With ADHD. A Randomized and Controlled Dr. Chan Suen Ho, Mark graduated with MBBS (UNSW), and Master Clinical Trial Using Parental Reports. Nezla S Duric, Jørg in Pain Medicine (Newcastle). He was a Vocational Scholar at the Assmus, Doris Gundersen; BMC Psychiatry. 2012;12(107). School of Immunology, John Curtin School of Medical Research, ANU and was trained at the Institute of National Heart Lung 5. How much do we know about faecal incontinence? Transplant at St Vincent Hospital. Dr. Chan has 20 publications in There is a ROME III classification by retention of faecal matters. Anesthesia and Family Medicine. He is a family physician in private Some 15% of diagnosed children still have the problem at age 18. practice. Apart from teaching, he also writes for newspapers. Reference: Review Article: Faecal Incontinence in Children: Dr. Chan reviewed and presented 25 papers in the field of mental Epidemiology, Pathophysiology, Clinical Evaluation and health and psychiatry published in the preceding 12 months Management. S. Rajindrajith, N. M. Devanarayana Aliment to colleagues. The selection criteria are: of relevance to Family Pharmacol Ther.2013;37(1):37-48. Medicine, interesting, making one feel in touch with current 6. What is the Third Wave? thinking and important in conceptual approach. Apart from the Third Waves by Alvin Toffler, the third wave Learning points in Psychotherapy refers to a heterogeneous group of treatments, including: The following is a summary of questions answered in the paper discussed. 1. acceptance and commitment treatment, 2. behavioural activation, 1. What happened to personality disorder in the new DSM V? 3. cognitive behavioural analysis system of psychotherapy, In the first draft of Chapter P (Personality disorders), DSM-5, 4. dialectical behavioural therapy, February 2010 proposed to remove paranoid, schizoid, 5. metacognitive therapy, histrionic, dependent and narcissistic personality disorders 6. mindfulness-based cognitive therapy and from the classification. It was revised in June 2011, reinstating 7. schema therapy. narcissistic personality disorder but not the other four. It is This review looked at the randomized controlled trials and being hotly debated. case series during the past 5 years, showing the effectiveness Reference: Too Few or Too Many? Reactions to Removing of ‘third wave psychotherapies’. versus Retaining Specific Personality Disorders in DSM-5. Reference: The Third Wave of Cognitive Behavioural Charles B. Pull Curr Opin Psychiatry. 2013;26(1):73-78. Therapies What Is New and What Is Effective? Kai G. Kahl, 2. We ask patients to tell us more, what is the concept of Lotta Winter. Curr Opin Psychiatry. 2012;25(6):522-528. Wisdom Environment in Narrative openness? 7. We advocate empathy, is there a neural basis? Can we share “Wisdom environment” means any context or occasion— joy as well? What are the empathy-related neural structures? reminiscence, life review, or simply soulful conversation— The medial prefrontal cortex (MPFC), the insula, the superior where deep storytelling is elicited by deep storylistening, temporal sulcus (STS) and the inferior frontal gyrus (IFG) were where narrative reflection is invited, and where wisdom (as discussed. awareness of alternative stories) is evoked. Reference: Can We Share the Joy of Others? Empathic Neural We empower patients to be strong, what is resilience? Responses to Distress vs Joy. Daniella Perry, Talma Hendler, Resilience is the ability to transform adversity into a growth Simone G. Soc Cogn Affect Neurosci. 2012;7(8):909-916. experience and move forward, is the capacity to see something 8. Will power make a difference? What is the easiest way to hopeful, humorous, or otherwise “redemptive” amid the stay alive? negatives of our lives. This is an insightful paper. Simply by stating I’d like to. A study showed that Mortality Reference: The Importance of Being Ironic, Narrative was the highest (68.0%) among those wishing to live <5 years Openness and Personal Resilience in Later Life; William L. compared to those wishing to live 5–10 years (45.6%) or over Randall. Gerontologist. 2013;53(1):9-16. 10 years (33.3%) (P < 0.001). 3. A new and renew approaches to the old body-mind, Reference: Will-to-Live and Survival in a 10-year Follow-up body-brain discussion. Among Older People . Helena Karppinen, et al. Age Ageing. A review on brainfulness. This article has an in-depth 2012;41(6):789-794. discussion on the ever lasting body-mind debate in medicine. 9. What are the models of Insomnia ? Need patience to digest the author’s personal view. The old model is the 3 P model, the others are stimulus Reference: Brainfulness, John Launer Postgrad Med J. control model and cognitive model. 2013;89(1047):60. Reference: The Pathophysiology of Insomnia From Models 4. What is new in ADHD? to Molecules ( and Back ) Wilfred R. Pigeon, Matthew R. Curr A Norwegian study showed videos and films to children Opin Pulm Med. 2012;18(6):546-553.

(Disclaimer: All advice and sharing in the meeting are personal opinions and bear no legal responsibility. All patients’ identities are kept confidential.) Family Physicians 13 Links LEARNING POINTS FROM BOARD OF EDUCATION

10. What are the five major psychiatric disorders that share Reference: Spina E, Trifirò G, Caraci F; CNS Drugs 26 (1), 39-67 common genetic risk ? (Jan 2012). Five major psychiatric disorders — autism, attention-deficit/ 16. Ketamine for Treatment-Resistant Unipolar Depression. hyperactivity disorder (ADHD), bipolar disorder, major This paper reviewed the use of subanesthetic dose of IV depressive disorder, and schizophrenia — share several Ketamine for resistant depressive patients. common genetic risk factors. 4 risk loci – on chromosomes 3p21 and 10q24, in 2 genes regulate the flow of calcium in Reference: Current Evidence. Mathew SJ.; CNS Drugs Feb brain cells (CACNA1Cand CACNB2). 2012. Br J Psychiatry. Reference: Lancet, 2013 Feb 27. 17. Vitamin D deficiency and depression in adults. 11. Memory loss and drugs in MCI / Dementia. Systematic review showed that low vitamin D concentration is associated with depression, need for randomised controlled There is no evidence that drugs will benefit people with mild trials of the role vitamin D for the prevention and treatment of cognitive impairment. depression. 1. Cholinesterase inhibitor or memantine (an N-methyl- Reference: Anglin RE, et al. British Journal of Psychiatry 202 D-aspartate receptor antagonist) in Alzheimer’s disease 100-7 (Feb 2013). may provide symptomatic relief, but does not appear to alter progression of the illness. 18. Therapeutic effects of vitamin D as adjunctive therapy to fluoxetine in patients with major depressive disorder. 2. Atypical antipsychotics have modest benefit in reducing agitation and psychotic symptoms but increase the risk of In the present 8-week trial, the vitamin D + fluoxetine cardiovascular events. combination was superior to fluoxetine alone in controlling depressive symptoms. 3. The role of antidepressants in managing depressive symptoms in patients with mild cognitive impairment is Reference: Khoraminya N et al; Australian and New Zealand uncertain and they may increase the risk of delirium and falls. Journal of Psychiatry (Oct 2012). Reference: Memory Loss. Flicker LA, Ford AH, Beer CD, 19. Obsessive-compulsive disorder, a new model of basal Almeida OP; Medical Journal of Australia 196 114-7 (Feb ganglia dysfunction? 2012). Elements from deep brain stimulation studies. 12. Two simple tests may help predict dementia and stroke in Reference: Haynes WI, Millet B, Mallet L; Revue Neurologique middle-aged people. (Aug 2012). 1. People with a slower walking speed in middle age were 1.5 20. Some practical advice regarding autism. times more likely to develop dementia when compared Autism is prevalent. The link lead to an excellent source for with people with faster walking speed. doctors caring for Autistic kids. Listen to parents. 2. Stronger hand grip strength - associated with 42% lower 1. Early signs of autism are often present before 18 months. risk of stroke or transient ischaemic attack in people aged older than 65 years compared with those having weaker 2. Parents usually DO have concerns that something is wrong. hand grip strength. 3. Parents generally DO give accurate and quality information. Reference: American Academy of Neurology: 2012 Dec 27. 4. When parents do not spontaneously raise concerns, ask if they have any. 13. Donepezil and memantine for moderate-to-severe Alzheimer’s disease. Reference: www.cdc.gov/autism and www.aap.org/autism. In patients with moderate or severe Alzheimer’s disease, 21. Parkinson’s disease, insulin resistance and novel agents of continued treatment with donepezil was associated with neuroprotection. cognitive benefits that exceeded the minimum clinically There are common cellular pathways relating neurodegenerative important difference and with significant functional benefits processes with abnormal mitochondrial function and over the course of 12 months. abnormal glucose metabolism. Eg peroxisome proliferator Reference: Howard R, McShane R. New Journal of activated receptor gamma coactivator 1-α, a key regulator of Medicine (NEJM) 366 (10), 893-903 (Mar 2012) Source: Expert mitochondrial respiration and insulin resistance, is pivotal in the Opin Pharmacother. pathogenesis of neuro-degeneration in Parkinson’s. Reference: Aviles-Olmos I, Limousin P, Lees A, Foltynie T; 14. New approaches to the pharmacological management of Brain (Feb 2012). generalized anxiety disorder. Quetiapine has the most robust evidence of efficacy in GAD. Next meeting th st Valproic acid and agomelatine appear to be effective in GAD The next (36 ) meeting for the Interest group will be on 1 June patients, but data are preliminary. Quetiapine is promising 2013, at the College meeting room. Dr. Dicky Chung, Consultant but its use is complicated by metabolic side effects. Psychiatrist of Tai Po Hospital, will share his experience on Suicidal Assessment. Reference: Buoli M, Caldiroli A, Caletti E, Paoli RA, Altamura AC; Expert Opinion on Pharmacotherapy (Jan 2013). All members of the College are welcome and encouraged to present their cases and problems for discussions or role play. (Please 15. Clinically significant drug interactions with newer do so 2 weeks beforehand for speakers to review; and contact our antidepressants. secretary at 2861 0220.) Again, those who are experienced can Important pharmacokinetic interactions through inhibiting share, less experienced ones can benefit from participation. Our specific CYPs. eg duloxetine and bupropion are moderate goal is to enhance our practical skills, promote early awareness and inhibitors of CYP2D6. better management of mental health problems in our community.

Family 14 Physicians Links BOARD OF EDUCATION NEWS

Please wear a surgical mask if you have respiratory tract infection and confirm that you are afebrile before coming to the meeting. Please wear an appropriate dress code to the hospital for the clinical attachment. Private Video Recording is not allowed. Members, who wish to review the lecture, please contact our secretariat.

ASSESSMENT ENHANCEMENT COURSE (AEC) FOR FAMILY PHYSICIANS 2013

Organizer : Assessment Enhancement Sub-committee, Board of Education, HKCFP Tutors : Family Medicine Specialists, Fellows of HKCFP and RACGP Supervisors : Dr. Wong Ka Wah and Dr. Chan Chi Wai Co-ordinator : Dr. Tam Chung Yin, Janet Objectives : 1. To improve clinical knowledge, problem solving and consultation skills through different workshops 2. To improve physical examination technique and clinic procedural skills through hands-on experience 3. To provide opportunity for inter-professional communication and social network expansion through self-help groups 4. To improve time management through simulated examination Venue : Duke of Windsor Social Service Building and HKAM Jockey Club Building Date : 7 months’ course starting from April 2013 Course Structure : The course will consist of 4 main components: 1. Seminars 2. Workshops 3. Self-help Group Support 4. Mock Exam Seminars and Workshops will be arranged on Saturday afternoons (2:30 p.m. to 5:30 p.m.)

Accreditation : Up to 15 CME points (Category 4.4) & 5 CPD points (Category 3.15) for the whole course Course Fee : Members : HK$3,200 (Whole course) HK$900 (Spot admission for each seminar or workshop only) All cheques payable to “HKCFP Education Ltd” All fees received are non-refundable and non-transferable. Capacity : 50 doctors maximum Enrolment : Enrolment is now open. Please call the College Secretariat, Ms. Yvonne Lam, at 2861 0220 for details. Successful applications will be informed later. Disclaimer : All cases and answers are suggested by our tutors only. They are not standard answers for examination. Remarks : Post-AEC training course will be organized for category 2 candidates who have enrolled in AEC.

Assessment Enhancement Course 2013 Timetable for Workshops

Date Topics Venue

Apr 20, 2013 (Sat) Introduction Duke of Windsor Social Service Building, Wanchai 2:30 – 5:30 p.m.

May 11, 2013 (Sat) Approach to Physical Complaints Duke of Windsor Social Service Building, Wanchai 2:30 – 5:30 p.m.

Jun 8, 2013 (Sat) Proper Physical Examination & Common Duke of Windsor Social Service Building, Wanchai 2:30 – 5:30 p.m. Clinic Procedures

Jul 13, 2013 (Sat) Viva Practice: Enhance Interprofessional Duke of Windsor Social Service Building, Wanchai 2:30 – 5:30 p.m. Communication

Sept 14, 2013 (Sat) Problem Solving Skills Duke of Windsor Social Service Building, Wanchai 2:30 – 5:30 p.m.

Oct 19, 2013 (Sat) Mock Exam HKAM Jockey Club Building, 99 Wong Chuk Hang Road 2:30 – 6:00 p.m.

Family Physicians 15 Links BOARD OF EDUCATION NEWS

The CPR Subcommittee of the Board of Education is pleased to announce that following candidates have passed the CPR Examination on 23 March 2013:

Dr. Chan Siu Chung, Bruce Dr. Ki Chi Wing, Samuel Dr. Tam Wing Yi, Cherry Dr. Choo Kwong Yin Dr. Li Lai Ming, Helen Dr. Tse Tung Wing, George Dr. Keung Man Fung Dr. Siu Chi Ming

Congratulations to you all.

Admission College Fellow, Full or Associate Free 1 June 2013 Saturday Fee Members Other Categories of Members HK$ 350.00 Board of Education Interest Group in Mental Health Non-Members HK$ 450.00 Aim To form a regular platform for sharing and All fees received are non-refundable and developing knowledge and skill in the management non-transferable. of mental health Accreditation 2 CME points HKCFP (Cat. 4.3) Topic Assessing Suicidal Patient: Psychiatric 2 CPD points HKCFP (Cat. 3.15) Considerations 2 CME points MCHK Speaker Dr. Chung Wai Sau, Dicky Language Lecture will be conducted in Cantonese and English. Co-ordinator Dr. Chan Suen Ho, Mark Registration Registration will be first come first served. & Chairman The Hong Kong College of Family Physicians Please reserve your seat as soon as possible. Time 1:00 p.m. – 2:00 p.m. Light Lunch Note Participants are encouraged to present own 2:00 p.m. – 4:00 p.m. Theme Presentation & cases for discussion. Please forward your cases Discussion to the Co-ordinator via the College secretariat 2 weeks prior to meeting. Venue 8/F, Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai, Hong Kong Admission College Fellow, Full or Associate Free 28 June 2013 Friday Fee Members Other Categories of Members HK$ 350.00 Non-Members HK$ 450.00 Latest Update on COPD Management All fees received are non-refundable and Prof. Peter Calverley non-transferable. Professor, Medicine in the Pulmonary and Rehabilitation Research Group, Accreditation 2 CME points HKCFP (Cat. 4.3) University of Liverpool 2 CPD points HKCFP (Cat. 3.15) 2 CME points MCHK Chairman Dr. Chan Sze Luen, David Language Lecture will be conducted in Cantonese and English. The Hong Kong College of Family Physicians Registration Registration will be first come first served. Time 6:00 p.m. – 7:00 p.m. Registration Please reserve your seat as soon as possible. 7:00 p.m. – 7:40 p.m. Lecture & Discussion 7:40 p.m. Dinner Note Participants are encouraged to present own cases for discussion. Please forward your cases Venue Jordan Ballroom, 2/F, Eaton Hotel, 380 Nathan to the Co-ordinator via the College secretariat 2 Road, Kowloon weeks prior to meeting. Admission College Fellow, Full or Associate Free Fee Members Other Categories of Members HK$ 350.00 Non-Members HK$ 450.00 22 June 2013 Saturday All fees received are non-refundable and non-transferable. Board of Education Interest Group in Counseling Accreditation 2 CME points HKCFP (Cat. 4.3) Aim (1) To form a regular platform for interactive sharing 2 CME points MCHK and discussion of various counseling cases Up to 2 CPD points (Subject to submission of commonly seen in our daily practice; satisfactory report of Professional Development Log) (2) To booster the competencies in counseling of Language Lecture will be conducted in English. family practitioners through case discussion and Registration Registration will be first come first served. practising self awareness Please reserve your seat as soon as possible. Topic The Anxious Patient Sponsored by Speakers Dr. Lau Ka Fai, Tony and Dr. Lau Wai Yee, Aster GlaxoSmithKline Ltd. Co-ordinator Dr. Lau Wai Yee, Aster & Chairman The Hong Kong College of Family Physicians Time 2:30 p.m. – 3:30 p.m. Lecture 3:30 p.m. – 4:30 p.m. Small Group Interactive Case Discussion (max. 10 On-Going Events organized by Board of Education participants) Please be reminded that there will be one lecture organized Venue 8/F, Duke of Windsor Social Service Building, by the Board of Education on 19 May 2013. Kindly refer to 15 Hennessy Road, Wanchai, Hong Kong FP Links April Issue (page 21) for details.

Family 16 Physicians Links BOARD OF EDUCATION NEWS

Monthly Video Viewing Session

Monthly video viewing sessions will be scheduled on the last Friday of each month at 2:30 – 3:30 p.m. at 8/F, Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai, Hong Kong. May’s session: June’s session:

Date 31 May 2013 (Friday) Date 28 June 2013 (Friday) Time 2:30 p.m. - 3:30 p.m. Time 2:30 p.m. - 3:30 p.m. Topics 1. Traditional Chinese Therapy & Dermatosis Topics 1. Glycemic Index – Non-alcoholic Fatty Liver Disease – Dr. Lee Tze Yuen – Dr. Leong In Son 2. Treatment of Sputum. Old is New 2. Statin Benefit Beyond Lipid Lowering – Dr. Edwin Poon – Dr. Ko Wai Chin Admission Free for Members Admission Free for Members Accreditation 1 CME point HKCFP (Cat. 4.2) Accreditation 1 CME point HKCFP (Cat. 4.2) 1 CME point MCHK 1 CME point MCHK Up to 2 CPD points (Subject to submission of Up to 2 CPD points (Subject to submission of satisfactory report of Professional Development Log) satisfactory report of Professional Development Log) Language Lectures will be conducted in English. Language Lectures will be conducted in English.

Community Education Programme

Open and free to all members HKCFP CME points accreditation (Cat 5.2)

Date/Time/CME Venue Topic/Speaker/Co-organizer Registration

8 June 2013 Training Room II, 1/F, OPD Block, Our Elderly Health in Primary Care Ms. Clara Tsang 2:30 – 4:30 p.m. Lady of Maryknoll Hospital, 118 Shatin Dr. Lo Kwok Man Tel: 2354 2440 2 CME points Pass Road, Wong Tai Sin, Kowloon AC, Geriatrics, Department of M&G, OLMH Fax: 2327 6852

18 July 2013 East Ocean Seafood Restaurant Management of Primary Headache Disorders in Ms. Cordy Wong 1:00 – 3:00 p.m. Shop 137, 1/F, Metro City Plaza 3, 8 Mau Clinics: From Diagnosis to Treatment Tel: 3513 3087 1 CME points Yip Road, Tseung Kwan O, Kowloon Dr. Chan Chun Kong Fax: 3513 5505 RS, Department of M&G, UCH

15 June 2013 Lecture Theatre, G/F, Block P, United Management of Degenerative Joint Diseases in Ms. Cordy Wong 1:30 – 3:45 p.m. Christian Hospital, 130 Hip Wo Street, Primary Care Setting Tel: 3513 3087 2 CME points Kwun Tong, Kowloon Dr. Ho Hon Shuen Fax: 3513 5505 AC, Department of O&T, UCH

Structured Education Programmes

Free to members HKCFP CME points accreditation (Cat 4.3)

Date/Time/CME Venue Topic/Speaker(s) Registration

5 June 13 (Wed)

2:15 – 4:45 p.m. E1034AB, 1/F, Main Block, Tuen Mun Health Care Delivery Model in China Ms. Eliza Chan 3 CME points Hospital Dr. Tong Ka Hung Tel: 2468 6813

2:15 – 5:15 p.m. Meeting Room 2, 1/F, Block F, United Shared Care and Referral System Ms. Cordy Wong 3 CME points Christian Hospital Dr. Ho Pui Gi and Dr. Chan Fu Leung Tel: 3513 3087

5:00 – 7:30 p.m. Seminar Room, 3/F, Li Ka Shing Specialist Health Care Insurance Proposal in Hong Kong Ms. Crystal Law 3 CME points Clinic, Dr. Leung Wing Kit Tel: 2632 3480

5:15 – 7:15 p.m. Lecture Hall, 5/F, Tsan Yuk Hospital Dermatological Emergencies Ms. Man Chan 2 CME points Dr. George Tse Tel: 2589 2337

6 June 13 (Thur)

2:15 – 5:15 p.m. Lecture Theatre, 8/F, Ambulatory Care Block, Shared Care and Referral System Ms. Cordy Wong 3 CME points Tseung Kwan O Hospital Dr. Lee Hung Fai and Dr. Cheung Yan Kit Tel: 3513 3087

Family Physicians 17 Links BOARD OF EDUCATION NEWS

4:00 – 6:00 p.m. Room 614, Ambulatory Care Centre, Tuen Teenage Pregnancy Ms. Eliza Chan 2 CME points Mun Hospital Dr. Leung Hor Yee Tel: 2468 6813

5:00 – 7:00 p.m. Room 041, 2/F, Pamela Youde Nethersole Journal Club Ms. Kwong 2 CME points Eastern Hospital Dr. Lee Ho Ming Tel: 2595 6941

13 June 13 (Thur)

2:15 – 5:15 p.m. Lecture Theatre, 8/F, Ambulatory Care Block, Common Symptoms in Orthopaedics (LBP, Neck Pain, Ms. Cordy Wong 3 CME points Tseung Kwan O Hospital Shoulder Pain) Tel: 3513 3087 Dr. Yuen Ming Wai and Dr. Mok Ka Yee

4:00 – 6:00 p.m. Room 614, Ambulatory Care Centre, Tuen Community Resources for Patients with Substance Abuse Ms. Eliza Chan 2 CME points Mun Hospital Dr. Lee Sik Kwan and Dr. Cheuk Tat Sang Tel: 2468 6813

5:00 – 7:00 p.m. Room 041, 2/F, Pamela Youde Nethersole Use of Clinic Tests in Daily Consultations – Urea Breath Test Ms. Kwong 2 CME points Eastern Hospital and Dyspepsia Tel: 2595 6941 Dr. Yio Shing

19 June 13 (Wed)

2:15 – 4:45 p.m. E1034AB, 1/F, Main Block, Tuen Mun Knee Pain Ms. Eliza Chan 3 CME points Hospital Dr. Chan Ka Ho Tel: 2468 6813

2:15 – 5:15 p.m. Multi-media Conference Room, 2/F, Block S, Principle of Professional Ethics, Red Book Ms. Cordy Wong 3 CME points United Christian Hospital Dr. Tsui Hiu Fa and Dr. Kwok Yee Ming Tel: 3513 3087

5:00 – 7:30 p.m. Seminar Room, 3/F, Li Ka Shing Specialist Menopause and Osteoporosis Ms. Crystal Law 3 CME points Clinic, Prince of Wales Hospital Dr. Chow Tze Ling, Sylvia Tel: 2632 3480

5:15 – 7:15 p.m. Lecture Hall, 5/F, Tsan Yuk Hospital Journal Club Ms. Man Chan 2 CME points Dr. Lee Pui Wai Tel: 2589 2337

20 June 13 (Thur)

2:15 – 5:15 p.m. Lecture Theatre, 8/F, Ambulatory Care Block, Principle of Professional Ethics, Red Book Ms. Cordy Wong 3 CME points Tseung Kwan O Hospital Dr. Kwong Kok See and Dr. Lee Wing Mei Tel: 3513 3087

4:00 – 6:00 p.m. Room 614, Ambulatory Care Centre, Tuen Approach to Numbness in Primary Care Clinic Ms. Eliza Chan 2 CME points Mun Hospital Dr. Hong Sze Nga Tel: 2468 6813

5:00 – 7:00 p.m. Room 041, 2/F, Pamela Youde Nethersole Disgnosis and Management of Shoulder Pain Ms. Kwong 2 CME points Eastern Hospital Dr. Lee Ho Ming Tel: 2595 6941

26 June 13 (Wed)

2:15 – 4:45 p.m. E1034AB, 1/F, Main Block, Tuen Mun Hospital Emergency Infectious Diseases Ms. Eliza Chan 3 CME points Dr. Liu Chung Wo Tel: 2468 6813

2:15 – 5:15 p.m. Multi-media Conference Room, 2/F, Block S, Eating Disorder Ms. Cordy Wong 3 CME points United Christian Hospital Dr. Yuen Ching Yi and Dr. Lam Wing Sze Tel: 3513 3087

5:15 – 7:15 p.m. Lecture Hall, 5/F, Tsan Yuk Hospital Care of Patient with Chronic Pain / Analgesic Ladder in GOPC Ms. Man Chan 2 CME points Setting Tel: 2589 2337 Dr. Tseung Kwan Hang

27 June 13 (Thur)

2:15 – 5:15 p.m. Lecture Theatre, 8/F, Ambulatory Care Block, Case Presentation (Ethical Dilemma, Confidentiality Issue, Ms. Cordy Wong 3 CME points Tseung Kwan O Hospital Medical-Legal Cases) Tel: 3513 3087 Dr. Leung Yuen Kin Journal Club (Infectious Disease/Infection Control Related) Dr. Tsui Wing Hang

4:00 – 6:00 p.m. Room 614, Ambulatory Care Centre, Tuen Burn Out and Sick Doctors Ms. Eliza Chan 2 CME points Mun Hospital Dr. Tang Hoi Yan Tel: 2468 6813

5:00 – 7:00 p.m. Room 041, 2/F, Pamela Youde Nethersole End of Life Decision and Palliative Care Ms. Kwong 2 CME points Eastern Hospital Dr. Yan Ka Shing, Quentin Tel: 2595 6941

Family 18 Physicians Links

COLLEGE CALENDAR

Sunday Monday Tuesday Wednesday Thursday Friday Saturday

19 20 21 22 23 24 25 2:15 – 7:00 p.m. Structured Education 7:00 p.m. 2:15 – 7:30 p.m. Programme CSA Standardization Structured Education 9:00 p.m. Workshop Programme Council Meeting

26 27 28 29 30 31 1 2:15 – 7:15 p.m. 2:15 – 7:00 p.m. 2:30 – 3:30 p.m. 1:00 - 4:00 p.m. Structured Education Structured Education Board of Education - Interest Group in Programme Programme Video Session Mental Health

2 3 4 5 6 7 8 2:30 - 5:30 p.m. 2:15 – 7:30 p.m. 2:15 – 7:00 p.m. Assessment Structured Education Structured Education Enhancement Programme Programme Courses 2013

9 10 11 12 13 14 15 2:15 – 7:00 p.m. Structured Education Programme 7:00 - 9:30 p.m. Standardization 5:30 - 7:30 p.m. Workshop on Conferment Research Segment Ceremony

16 17 18 19 20 21 22 2:15 – 7:00 p.m. Structured Education 9:00 a.m. - 5:30 p.m. Programme Hong Kong Primary 2:15 – 7:30 p.m. 9:00 p.m. 2:30 - 4:30 p.m. Care Conference 9:00 p.m. Structured Education Board of Conjoint Interest Group in 2013 Council Meeting Programme Examination Meeting Counseling

23 24 25 26 27 28 29 2:30 – 3:30 p.m. 2:30 - 5:30 p.m. Board of Education - Conjoint 2013 Video Session Information Seminar 2:15 – 7:15 p.m. 2:15 – 7:00 p.m. 6:00 - 7:40 p.m. on OSCE Segment Structured Education Structured Education Latest Update on for Candidates Programme Programme COPD Management

FP LINKS EDITORIAL BOARD 2013 Board Members : Board Advisor : Dr. Alvin Chan Section Coordinator (Oasis) Dr. Chan Man Li Section Coordinator (Feature) Dr. Wendy Tsui Dr. Judy Cheng Section Coordinator (After Hours) Dr. Chung Chak Cheong Dr. Anita Fan Dr. Fok Peter Anthony Chief Editor : Dr. Fung Hoi Tik, Heidi Section Coordinator (WONCA Express) Dr. Catherine Ng Dr. Ho Ka Ming Dr. Alfred Kwong Back Row (left to right): Miss. Windy Lau, Miss. Carmen Cheng, Dr. Dorothy Law Dr. Fung Hoi Tik, Dr. Wendy Tsui, Dr. Catherine Ng, Dr. Maria Dr. Maria Leung Section Coordinator (Photo Gallery) Leung, Dr. Judy Cheng, Dr. Natalie Siu Front Row (left to right): Dr. Ho Ka Ming, Dr. Fok Peter Anthony, Dr. Ngai Ka Ho Deputy Editors: Dr. Chan Man Li, Dr. Sin Ming Chuen, Dr. Anita Fan, Dr. Alfred Dr. Sin Ming Chuen Kwong, Dr. Sze Hon Ho Prof. Martin Wong Dr. Siu Pui Yi, Natalie Dr. Natalie Yuen Dr. Sze Hon Ho Section Coordinator (News Corner) Red : Education Programmes by Board of Education Dr. Wong Yu Fai Green : Community & Structured Education Programmes Purple : College Activities

“Restricted to members of HKCFP. The views expressed in the Family Physicians Links represent personal view only and are not necessarily shared by the College or the publishers. Copyrights reserved.” Contact and Advertisement Enquiry Ms. Carmen Cheng Tel: 2528 6618 Fax: 2866 0616 E-mail: [email protected] The Hong Kong College of Family Physicians 7th Floor, HKAM Jockey Club Building, 99 Wong Chuk Hang Road, Hong Kong

Family 20 Physicians Links